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1770997728
PENNY FULKS
COLUMBIA, MO
NPI
1770997728
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Former Name
PENNY LAINE PASBRIG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2014018654)
Enumeration Date
2014-06-18
Last Update Date
2024-01-22
Business Address
PENNY FULKS MSN, APRN, NP-C
910 N COLLEGE AVE STE 4
COLUMBIA, MO 65201-4797
Phone number: 636-642-1215
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Mailing Address
PENNY FULKS MSN, APRN, NP-C
910 N COLLEGE AVE STE 4
COLUMBIA, MO 65201-4797
Phone number: 636-642-1215
Copy
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